MATTHEW K GENTILE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MATTHEW K

Last Name

GENTILE

Business Name

MATTHEW K GENTILE

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006